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NPI 1548885700

NPI 1548885700 : NEWSON COUNSELING & CONSULTING LLC : HOMEWOOD, IL

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General NPI Number Information
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    NPI Number           |    1548885700
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEWSON COUNSELING & CONSULTING LLC 
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Dates
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    Enumeration Date     |    06/13/2020
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    Last Update Date     |    06/13/2020
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Provider Practice Location Address
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    Address Line         |    2023 RIDGE RD UNIT 2NW 
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    City                 |    HOMEWOOD
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    State                |    IL
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    Zip                  |    60430-1786
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    Country              |    US
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    Telephone            |    708-408-6650
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2023 RIDGE RD UNIT 2NW 
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    City                 |    HOMEWOOD
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    State                |    IL
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    Zip                  |    60430-1786
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    Country              |    US
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    Telephone            |    708-408-6650
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LEAD THERAPIST
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    Name                 |    MS. LATESHA LILLIE NEWSON 
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    Credential           |    LCSW
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    Telephone            |    708-408-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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